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Use of Coronary Computed Tomography Angiography to Screen Hospital Employees with Cardiovascular Risk Factors

Po-Yi Li1, Ru-Yih Chen1, Fu-Zong Wu2

  • 1Department of Family Medicine, Kaohsiung Veterans General Hospital, Kaohsiung 813, Taiwan.

International Journal of Environmental Research and Public Health
|June 2, 2021
PubMed

Insights

Coronary computed tomography angiography (CCTA) effectively detects coronary artery disease in high-risk hospital employees. Age, hypertension, and hyperlipidemia are key predictors for significant disease, emphasizing chronic disease management.

Area of Science:

  • Cardiology
  • Radiology
  • Preventive Medicine

Background:

  • Coronary artery disease (CAD) poses a significant health risk.
  • Early detection of CAD enables timely intervention and better patient outcomes.
  • Coronary computed tomography angiography (CCTA) is a non-invasive imaging technique for assessing coronary arteries.

Purpose of the Study:

  • To evaluate the utility of CCTA in identifying CAD among hospital employees.
  • To determine the prevalence of significant CAD (CAD-RADS score 3-5) in a high-risk population.
  • To identify risk factors associated with significant CAD detected by CCTA.

Main Methods:

  • Hospital employees were screened using the Framingham Risk Score.
  • Individuals with a 10-year myocardial infarction risk >10% were offered CCTA.
  • Coronary Artery Disease Reporting and Data System (CAD-RADS) scores were used to categorize findings.

Main Results:

  • 309 employees underwent CCTA, with 10.0% (31) showing CAD-RADS scores of 3-5, necessitating further investigation.
  • 10% of those with significant CAD required cardiac catheterization.
  • Age (≥55 years), hypertension, and hyperlipidemia were significant predictors of CAD-RADS scores of 3-5.

Conclusions:

  • CCTA is a valuable tool for detecting significant coronary artery disease in hospital employees.
  • Effective management of hypertension and hyperlipidemia is crucial for reducing CAD risk.
  • Further research is needed to identify additional risk factors for CAD.

Keywords:
Coronary Artery Disease Reporting and Data System (CAD-RADS)Framingham Risk Scorecoronary artery diseasecoronary computed tomography angiography (CCTA)screen

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